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AAHAM - CCT EXAM QUESTIONS AND ANSWERS
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AAHAM - CCT EXAM QUESTIONS AND ANSWERS
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AAHAM - CCT EXAM QUESTIONS AND ANSWERSCertificate of Accreditation Correct Ans-COA; the CLIA certificate issued to a laboratory on
the basis of the laboratory's accreditation by an accreditation organization approved by CMS
Certificate of Compliance Correct Ans-COC; the CLIA certificate issued to a laboratory once
the State Department of Health conducts an on-site survey/ inspection and determines that
the laboratory is compliant with all applicable CLIA requirements
Certificate of Registration Correct Ans-The CLIA certificate issued to allow a laboratory to
conduct nonwaived testing until the laboratory is surveyed to determine its compliance with
the CLIA regulations
Certificate of Waiver Correct Ans-COW; the CLIA certificate issued to a laboratory that
performs only waived tests -"simple laboratory examinations and procedures that have an
insignificant risk of an erroneous result"
CIA Correct Ans-Corporate Integrity Agreement -the agreement that spells out the
integrity measure required of a provider that has engaged in serious misconduct but is being
allowed to continue participating in the healthcare programs, or Central Intelligence Agency
CLIA Correct Ans-Clinical Laboratory Improvement Amendment; the amendments that
established quality standards for all laboratory testing
CMP Correct Ans-Civil Monetary Penalties
, AAHAM - CCT EXAM QUESTIONS AND ANSWERS
CMS Correct Ans-Centers for Medicare and Medicaid Services
CMS Central Office Alert Correct Ans-one of the five types of Fraud Alerts; prepared by
ZPIC if a scheme is about to be publicized on a national level, the case involves patient abuse
or a large dollar amount , or the issue involves politically sensitive testimony
COA Correct Ans-Certificate of Accreditation; the CLIA certificate issued to a laboratory on
the basis of the laboratory's accreditation by an accreditation organization approved by CMS
COC Correct Ans-Certificate of Compliance; the CLIA certificate issued to a laboratory once
the State Department of Health conducts an on-site survey /inspection and determines that
the laboratory is compliant with all applicable CLIA requirements
COLA Correct Ans-Commission on Office Laboratory Accreditation; one of six CMS-
approved accreditation organizations
College of American Pathologists Correct Ans-CAP; one of six CMS- approved accreditation
organizations
Commission on Office Laboratory Accreditation Correct Ans-COLA; one of six CMS-
approved accreditation organizations
, AAHAM - CCT EXAM QUESTIONS AND ANSWERS
complex review Correct Ans-a RAC review involving review of the medical record
documentation; used where there is a high probability that the service is not covered or
where no Medicare policy, Medicare article, or Medicare-sanctioned coding guideline exists
Comprehensive Error Rate Testing Correct Ans-CERT; a program instituted by CMS to
monitor and calculate the accuracy and error rates for all MACs and to monitor the accuracy
of Medicare payments to FIs, carriers and DMERCs
COP Correct Ans-Medicare Conditions of Participation
Corporate Integrity Agreement Correct Ans-the agreement that spells out integrity
measures required of a provider that has engaged in serious misconduct but is being allowed
to continue participating in the healthcare programs
COW Correct Ans-Certificate of Waiver; the CLIA certificate issued to a laboratory that
performs only waived tests -"simple laboratory examinations and procedures that have an
insignificant risk of an erroneous result"
CPG Correct Ans-Compliance Program Guidance
demand letter Correct Ans-document describing the rationale for a RAC determination and
providing information in case an appeal is warranted
, AAHAM - CCT EXAM QUESTIONS AND ANSWERS
DOJ Correct Ans-Department of Justice
EHR Correct Ans-electronic health record
EMC Correct Ans-emergency medical condition
Emergency Medical Treatment and Active Labor Act Correct Ans-EMTALA; the Act that
requires hospitals with emergency departments to provide a medical screening examination
to any individual who comes to the emergency department and requests such an
examination, and prohibits hospitals with emergency departments from refusing to examine
or treat individuals with an emergency medical condition; also known as the Federal Anit-
Dumping Statute
EMR Correct Ans-electronic medical record
EMTALA Correct Ans-Emergency Medical Treatment and Active Labor Act
EPHI Correct Ans-electronic protected health information
Fair Credit Billing Act Correct Ans-an amendment to the Truth in Lending Act that protects
consumers from inaccurate or unfair practices by issuers of open-ended credit
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